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| Plan Name | MEDICAL PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | HARTFORD SOUTH, LLC |
| Employer identification number (EIN): | 593662016 |
| NAIC Classification: | 238100 |
Additional information about HARTFORD SOUTH, LLC
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 2000-08-04 |
| Company Identification Number: | L00000009383 |
| Legal Registered Office Address: |
7326 SOUTH ORANGE AVENUE ORLANDO 32809 |
More information about HARTFORD SOUTH, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-04-01 | ALISA WALLACE | 2024-10-11 | ||
| 501 | 2022-04-01 | ALISA WALLACE | 2023-10-20 |
| Measure | Date | Value |
|---|---|---|
| 2023: MEDICAL PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-04-01 | 53 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-04-01 | 54 |
| Number of retired or separated participants receiving benefits | 2023-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-04-01 | 0 |
| Total of all active and inactive participants | 2023-04-01 | 54 |
| Number of employers contributing to the scheme | 2023-04-01 | 0 |
| 2022: MEDICAL PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-04-01 | 55 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-04-01 | 54 |
| Number of retired or separated participants receiving benefits | 2022-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-04-01 | 0 |
| Total of all active and inactive participants | 2022-04-01 | 54 |
| Number of employers contributing to the scheme | 2022-04-01 | 0 |
| 2023: MEDICAL PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: MEDICAL PLAN 2022 form 5500 responses | ||
| 2022-04-01 | Type of plan entity | Single employer plan |
| 2022-04-01 | First time form 5500 has been submitted | Yes |
| 2022-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |